ANTERIOR LUMBAR INTERBODY FUSION FOR INTERNAL DISK DISRUPTION

被引：79

作者：

NEWMAN, MH

GRINSTEAD, GL

机构：

[1] Private Practice, Anchorage, AK

[2] Research Associate to several, Orthopaedic surgeons, Anchorage, AK

来源：

SPINE | 1992年 / 17卷 / 07期

关键词：

ANTERIOR LUMBAR INTERBODY FUSION; INTERNAL DISK DISRUPTION;

D O I：

10.1097/00007632-199207000-00017

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Anterior lumbar interbody fusion was performed as the primary surgical procedure for 36 patients with internal disc derangement. Patients were selected on the basis of clinical complaints, discography, and magnetic resonance imaging results. Twenty-eight patients underwent a one-level fusion and eight patients had a two-level fusion for a total of 44 levels. Autogenous graft was used in all cases. Clinical results were categorized as success or failure based on return to work or activities of daily living, drug usage patterns, and complaints of pain. Thirty-one patients (86.1%) had a successful clinical result and five patients (13.9%) had an unsuccessful clinical result. Based on flexion-extension radiographs fusion was achieved in 32 patients (88.9%). Forty of the forty-four levels (90.9%) fused. Complications include one each of: pulmonary embolus, retrograde ejaculation, wound hematoma at the donor site, and perioperative graft extrusion.

引用

页码：831 / 833

页数：3

共 13 条

[1]

Blumenthal S.L., Baker J., Dossett A., Selby D.K., The role of anterior lumbar fusion for internal disc disruption, Spine, 13, pp. 566-569, (1988)

[2]

Chow S.P., Leong J., Ma A., Yau A., Anterior spinal fusion for deranged lumbar intervertebral disc, Spine, 5, pp. 452-458, (1980)

[3]

Crock H.V., A reappraisal of intervertebral disc lesions, Med Jaust, 1, pp. 983-989, (1970)

[4]

Crock H.V., Anterior lumbar interbody fusion indications for its use and notes on surgical technique, Clinl Orthop, 165, pp. 157-163, (1982)

[5]

Crock H.V., Practice of Spinal Surgery. Wein, Springer- Verlag, (1983)

[6]

Flynn J.C., Hoque M.A., Anterior fusion of the lumbar spine end-result study with long-term follow-up, J Bone Joint Surg, 61, pp. 1143-1150, (1979)

[7]

Fujimaki A., Crock H.V., Bedbrook G.M., The results of 150 anterior lumbar interbody fusion operations performed by two surgeons in Australia, Clin Orthop, 165, pp. 164-167, (1982)

[8]

Herron L., Newman M., The failure of ethlene oxide gas-sterilized freeze-dried bone graft for thoracic and lumbar spinal fusion, Spine, 14, pp. 496-500, (1989)

[9]

Inoue S., Watanabe T., Hirose A., Et al., Anteror discectomy and interbody fusion for lumbar disc herniation, Clin Orthop, 183, pp. 22-31, (1984)

[10]

Jaffray D., O'Brien J.P., Isolated intervertebral disc resorption a source of mechanical and inflammatory back pain?, Spine, 11, pp. 397-401, (1986)

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